Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
0F
Potential for minimal harm
0A
0B
0C
June 30, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for 1 resident (R) (R7) of 2 sampled residents. R7 was on enhanced barrier precautions (EBP) for a left heel pressure injury. Staff did not appropriately change gloves and cleanse hands during wound care.
April 23, 2025Standard inspection · 0 citations
February 21, 2024Standard inspection, Complaint inspection · 2 citations
- D
Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, resident and staff interview, and record review, the facility did not ensure call lights were within reach for 1 Resident (R) (R24) of 20 sampled residents. On 2/19/24, Surveyor observed R24's call light on the wall behind an armoire. The call light contained a call button, but not a cord. The call light was not within reach or easily accessible to R24.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on staff and resident interview, and record review, the facility did not ensure effective pain management was provided for 1 Resident (R) (R218) of 20 sampled residents. R218 was not provided effective pain management from 12/21/23 through 12/26/23.
Fire safety inspections
18 fire safety citations on file: 6 on June 30, 2026, 8 on April 23, 2025, 4 on February 21, 2024.
Every fire safety citation18 citations
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 30, 2026 · Corrected (the home has a date of correction)
- E
Have power receptacles that are properly grounded.
K 912 · June 30, 2026 · Corrected (the home has a date of correction)
- D
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
K 132 · June 30, 2026 · Corrected (the home has a date of correction)
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K 223 · June 30, 2026 · Corrected (the home has a date of correction)
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · June 30, 2026 · Corrected (the home has a date of correction)
- D
Ensure proper usage of power strips and extension cords.
K 920 · June 30, 2026 · Corrected (the home has a date of correction)
- F
Conduct risk assessment and an All-Hazards approach.
E 6 · April 23, 2025 · Corrected (the home has a date of correction)
- F
Address subsistence needs for staff and patients.
E 15 · April 23, 2025 · Corrected (the home has a date of correction)
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K 211 · April 23, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · April 23, 2025 · Corrected (the home has a date of correction)
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K 321 · April 23, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · April 23, 2025 · Corrected (the home has a date of correction)
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
K 362 · April 23, 2025 · Corrected (the home has a date of correction)
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · April 23, 2025 · Corrected (the home has a date of correction)
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K 521 · February 21, 2024 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 21, 2024 · Corrected (the home has a date of correction)
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · February 21, 2024 · Corrected (the home has a date of correction)
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
K 927 · February 21, 2024 · Corrected (the home has a date of correction)